| Hackley Community Care Center Inc | |
|
80 W Southern Ave Muskegon MI 49441-2541 | |
| (231) 733-6680 | |
| Not Available |
| Full Name | Hackley Community Care Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 W Southern Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Wayne Kohn (CMO) |
| Authorized Official Contact | 2317371335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackley Community Care Center Inc 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 | Hackley Community Care Center Inc 80 W Southern Ave Muskegon MI 49441-2541 Ph: (231) 733-6680 |
| NPI Number | 1508245408 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 02/13/2018 |
| Medicare PECOS PAC ID | 8123015492 |
|---|---|
| Medicare Enrollment ID | O20110608000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508245408 | NPI | - | NPPES |
| 1508245408 | Other | MI | NPI |
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